Individual provider Active NPI

Tiffany L Cawthon, NP

  • Family Nurse Practitioner
  • Lagrange, GA
National Provider Identifier
1487333480
Registry record updated May 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN238306 Issued in GA
Practice address
106 Old Mill Rd Ste 100
Lagrange, GA 30241-6704
Phone
(706) 803-8500
NPI assigned
Jul 17, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN238306 GA Primary

Addresses

Primary practice location

106 Old Mill Rd Ste 100
Lagrange, GA 30241-6704

Mailing address

106 Old Mill Rd Ste 100
Lagrange, GA 30241-6704
Phone (706) 803-8500

Other practice location 1

1497 Lafayette Pkwy
LaGrange, GA 30241-2552
Phone (706) 880-7335

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tcawthon528349@directwellstar.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230907004111 GA Practitioner - Nurse Practitioner 6103280235 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellstar Medical Group LLCGroup PAC ID 6709065402, 3,059 clinicians

Practice addresses (Care Compare)

106 Old Mill Rd
Suite 100
Lagrange, GA 30241-6704
Phone (706) 803-8500

5150 Stilesboro N W Rd
Suite 220
Kennesaw, GA 30152-7742
Phone (770) 424-8222

Merit-based Incentive Payment System (MIPS)

Final score
93.93 of 100Reported as apm
Quality
82.14
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wellstar Medical Group, LLC CurrentSince Aug 1, 2023 Accepting new patients
Wellstar Medical Group, LLC Current Accepting new patients

Locations

5150 Stilesboro Rd NW
Ste 220
Kennesaw, GA 30152
Phone (770) 424-8222

1497 Lafayette Pkwy
Lagrange, GA 30241
Phone (706) 845-1990

106 Old Mill Rd
Ste 100
Lagrange, GA 30241
Phone (706) 803-8270

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1689552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747267200000",
    "number": "1487333480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 OLD MILL RD STE 100",
            "city": "LAGRANGE",
            "state": "GA",
            "postal_code": "302416704",
            "telephone_number": "706-803-8500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 OLD MILL RD STE 100",
            "city": "LAGRANGE",
            "state": "GA",
            "postal_code": "302416704",
            "telephone_number": "706-803-8500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1497 Lafayette Pkwy",
            "address_purpose": "LOCATION",
            "city": "LaGrange",
            "state": "GA",
            "postal_code": "302412552",
            "country_code": "US",
            "telephone_number": "706-880-7335",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAWTHON",
        "first_name": "TIFFANY",
        "middle_name": "L",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-17",
        "last_updated": "2025-05-15",
        "certification_date": "2025-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN238306",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tcawthon528349@directwellstar.org",
            "affiliation": "N",
            "address_1": "1497 Lafayette Pkwy",
            "city": "LaGrange",
            "state": "GA",
            "country_code": "US",
            "postal_code": "302412552",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lagrange, GA

Sources for this page

Verify at the official NPI Registry.